Heartland-Charleston of Hanahan SC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-526 Issued in SC

Legal business name

HEARTLAND-CHARLESTON OF HANAHAN SC LLC

Practice address

1800 Eagle Landing Blvd
Hanahan, SC 29410-8517

Phone

(843) 553-0656

Fax

(843) 553-9773

NPI assigned

Jun 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Heartland Health and Rehabilitation Care Center- Hanahan Doing business as
• ProMedica Skilled Nursing and Rehabilitation (Union) Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1891736781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAGLE LANDING BLVD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108517",
            "telephone_number": "843-553-0656",
            "fax_number": "843-553-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND-CHARLESTON OF HANAHAN SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1003",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health and Rehabilitation Care Center- Hanahan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (Union)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Halo Home Care Services
• Gaines W Hammond III, DMD
• Hanahan Op LLC
• Marguerite Harris, OTR/L
• Jennifer Leigh Hartman
• Tammy Elizabeth Hiott, NP-C
• Karen Hubert, CNHP, NC
• Hugh Robinson DMD PA
• Johan I Kolmodin, DMD
• L.S.E. Chiropractic and Health Solutions LLC.

• All providers in Hanahan, SC
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.